Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Idaho for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Idaho only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Idaho (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Dirne Health Centers Inc (NPI 1568910156)

Field	Value
Entity Type	Organization
Organization	Dirne Health Centers Inc
Address	120 S 13th St
City	St Maries
State	ID
ZIP	83861
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 13, 2016

Payer Source	Total Paid
Medicaid	$390.1K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	4,590	$90	$390K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	80	$1	$80
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	20	$0	$0

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.

Claims Volume vs. Idaho Distribution

Dirne Health Centers Inc — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	75	140	5,470	$180	$2.6M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	351	410	740	$60	$174.3K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	241	260	200	$90	$47.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Dirne Health Centers Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dirne Health Centers, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$13.6M
Dirne Health Centers, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$7.1M
Dirne Health Centers, Inc	ID	Federally Qualified Health Center (FQHC)	$0	$6.7M
Dirne Health Centers, Inc	ID	Federally Qualified Health Center (FQHC)	$0	$6.5M
Dirne Health Centers, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$6.3M
Dirne Health Centers, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$3M
Dirne Health Centers Inc	ID	Federally Qualified Health Center (FQHC)	$0	$870.1K
Dirne Health Centers, Inc	ID	Federally Qualified Health Center (FQHC)	$0	$789.6K
Kerri Ruddell	WA	Family Nurse Practitioner	$63.1K	$0
Jill White	ID	Psychiatric/Mental Health Nurse Practitioner	$28.8K	$0

Nearby Providers

Other providers in the same ZIP code as Dirne Health Centers Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Idaho Partners In Care	ID	In Home Supportive Care Agency	$0	$5M
Benewah Community Hospital	ID	Rural Health Clinic/Center	$0	$1.3M
Benewah Community Hospital	ID	Critical Access Hospital	$0	$601.7K
St. Maries School District #41	ID	Speech/Language/Hearing Specialist/Technologist	$0	$492.7K
County Of Benewah	ID	Ambulance	$160.6K	$53.2K
Jacks Pharmacy Inc	ID	Community/Retail Pharmacy	$50.1K	$0
Stephanie Arar	ID	Family Medicine Physician	$46.6K	$0
Ralph Sutherlin	ID	Family Medicine Physician	$7.2K	$0

Dirne Health Centers Inc — Billing Profile & Reimbursement Data

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Dirne Health Centers Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References